| Metastatic Adenocarcinoma
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Etiology
• Unknown.
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Pathogenesis
• Arrive via systemic circulation
• Unknown why lung carcinoma has predilection for adrenals,
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Epidemiology
• Up to 25% of patients with metastatic carcinomas
• Lung and breast predominate
• Also GI tract, thyroid, kidney, other adrenal
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General Gross Description
• May be cortical or medullary, tan with or without hemorrhage or necrosis.
•Examples:
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General Microscopic Description
• Resembles primary site
•Examples:
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Clinical Correlation
• Requires chemotherapy to treat.
• May be associated with mild adrenal failure.
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References
• Diagnostic Surgical Pathology, 2d edition, Sternberg SS (ed). Philadelphia: Lippincott-Raven,1996, pp. 585-6.
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| Metastatic Adenocarcinoma
| | Synopsis by: Melinda Sanders M.D. (T93000M81406)[444]
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